| NPI | 1003583774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA SMITH Speech Language Pathologist 708-370-0809 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2023-01-14 |